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Liberty Donders
Student in an Organized Health Care Education/Training Program in Sackets Harbor, New York
NPI 1033364781

Liberty Donders is a Student in an Organized Health Care Education/Training Program based in Sackets Harbor, NY. Liberty Donders practices in Sackets Harbor, NY. The NPI Number for Liberty Donders is 1033364781 and holds a License No. 022312-1 (New York).

The current practice location address for Liberty Donders is 210 Military Rd, Sackets Harbor, NY and can be reached out via phone at 315-646-2462.

Location: 210 Military Rd, Sackets Harbor, NY, 13685-9533
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1033364781
Provider Name
Liberty Donders
Credential
Provider Entity Type
Individual
Gender
Female
Address
210 Military Rd, Sackets Harbor, NY, 13685-9533
Phone Number
315-646-2462
Fax Number
Provider Enumeration Date
11/21/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
210 Military Rd
City
Sackets Harbor
State
New York
Zip
13685-9533
Phone Number
315-646-2462
Fax Number
person
Provider Business Mailing Address Details
Address
210 Military Rd
City
Sackets Harbor
State
New York
Zip
13685-9533
Phone Number
315-646-2462
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
022312-1 (New York)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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